Laerdal Infant Airway Management Trainer

ENGLISH Directions for Use

FRANÇAIS Mode d’emploi
DEUTSCH Gebrauchsanweisung
ESPAÑOL Instrucciones de utilización
ITALIANO Instruzioni per l’Uso
NORSK Bruksanvisning
SVENSKA Bruksanvisning
SUOMI Käyttöohje
JAPANESE

www.laerdal.com
 ENGLIS H

Contents
Cautions and warnings ............................2
Introduction ........................................ 3
Instructions for use ................................. 3
Maintenance........................................ 4
Parts list ...............................................6

Product specifications are subject

to change without notice.

CAUTIONS AND WARNINGS

Material compatibility
Do not allow the manikin's skin to come in direct
contact with ink or photocopied paper, as this can
cause permanent stains on the skin.
Using protective gloves when handling the trainer will
also reduce the risk of staining. However, avoid
coloured vinyl or latex gloves as these may cause
discolouration of the trainer's skin.
The face skin and airways must not be stored to-
gether with parts made in soft PVC, as this can
damage the material used for the new parts.

Upper airways
Always make sure that the airways and tube have
been properly lubricated before practising intubation
on the trainer.
This is important both to provide the proper realism
and to reduce the risk of damaging the manikin's
upper airways.

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INTRODUCTION
The Laerdal Infant Airway Management Trainer is
mounted on mounting base, and simulates a 3 month
old infant head.
It is designed to provide the following common diag-
nosis and treatment modalities:
Airway management
- Ventilation via bag-valve-mask
- Endotracheal and nasotracheal intubation
- Bilateral lung movement and stomach distention Head tilt
- Oral/Nasal Airways In the neutral position, the airways are open. If ventila-
- Insertion of LMA (Laryngeal Mask Airway) ted via bag-mask in this position, air will enter the
lungs. If a too rapid ventilation is performed, causing
Getting started an air pressure in excess of 10 mm Hg, stomach dis-
Before use, perform the following preparations: tension will occur.
Hyperextension of the head/neck will not cause the
airways to close.

Lubrication of the airway

During this procedure, wear protective gloves
to avoid contamination.
Spray into the mouth/airway using the lubricant spray
(supplied with trainer). Also lubricate the tip of the
endotracheal tube and laryngoscope blade before
performing endotracheal or nasotracheal intubation.
Jaw thrust
The trainer also allows jaw thrust to be performed.
Performed in the flexed position, the airways will
open and allow ventilation by bag-mask.

INSTRUCTIONS FOR USE

Ventilation

Insertion of LMA
Insertion of LMA can be practiced.
A size 1 LMA is recommended.

Airway open/closed - Stomach distension

In the flexed position, with the head resting forward
onto the chest, the airways are closed. If an attempt is
made to ventilate the manikin via bag-mask between
this position and the neutral position, air will not en-
ter the lungs. If an air pressure of more than 10 mm
Hg is applied, stomach distension can be observed on
the trainer.

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Intubation
The trainer can be intubated via the oral and nasal
routes.
A 3,5 mm tube is recommended to avoid backward
air leakage. A No. 1 laryngoscope blade is
recommended.
If intubated too deeply, the tube will pass into
the right mainstem bronchus, causing ventilation
to the right lung only.
Important:
Always make sure that the airways and tube have been
properly lubricated before practising intubation on the
trainer.
This is important both to provide the proper realism
and to reduce the risk of damaging the upper airways.
Use the lubricant spray supplied with Infant Airway
Management Trainer.
The cricoid pressure technique (Sellick manoeuvre)
can be realistically performed on the Infant Airway
Management Trainer.
Lungs, stomach
The trainer contains two separate lungs and
a stomach.
They are designed to provide movement during ven-
tilation of either lung or distention of the stomach.
To expel air from the stomach, simply press on the
4
stomach part.
The trainer will expel all air back through the mouth
and nose.
Airway hygiene
Please note that if mouth-to-mouth or mouth-to-
nose ventilation has been performed, a thorough
cleaning of the upper airways, and a replacement of
the lungs and stomach are necessary.
See section "Cleaning upper airways".
However, we recommend that this trainer not
be used for mouth-to-mouth or mouth-to-nose
ventilation.
MAINTENANCE
Lubrication
It is essential that the upper airways are properly lu-
bricated in order to obtain the intended realism and
durability.
Take care to lubricate the airways, endotracheal tube
and laryngoscope blade as described in section
"Lubrication of the airways" on page 3 before using
the manikin.
Replacing or cleaning the face skin
To remove
1. Detach face from retainer at each ear.
2. Lift off face.
To clean
Clean face skin as follows:
- Immerse face skin into a disinfectant solution*.
- Scrub stubborn stains when necessary and
leave for 10 minutes.
- Rinse with fresh water.
- Allow face skin to dry.
*Note:
Virkon can be used.
Depending on local policies you may prefer to use a
freshly prepared sodium hypochlorite solution. Local clea-
ning and handling procedures must then be followed.
Alternatively replace with new face skin
(Cat.No. 08 33 10).
To install - With the stomach
positined outside
the ”body”, fold
the lungs back into
the body

- Connect the two lungs

1. Fold face upward 2. Unfold face to the carina (Y-piece).
to avoid direct finger over head.
contact with mouth
and nose area.

3. Fasten retainer
at each ear. - Mount the stomach
pressure valve band
over the two tabs.

Replacing the lungs/stomach

To remove

- Remove stomach
pressure valve band.
- Unsnap and discard
the lungs and stomach.

Cleaning upper airways

To remove

To install - Press down tab on

- Unpack new lung/ inner neck connector
stomach and pull head away
(Cat. No. 250-20250). from body part.
- Remove face skin
- Connect stomach as described in
to oesophagus end "To remove" in section
of head/airway "Replacing or cleaning
assembly. the face skin".
- Unsnap and discard the lungs and stomach.

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To clean PARTS LIST
- Open and empty the cleaning kit basin
(optional Cat. No. 081500). 250-20150 Body part
250-20250 Lungs/stomach (pkg. 3)
- Place the trainer head face down in the cleaning 250-20350 Base plate
basin. 250-20450 Cover
250-21050 Airway Lubricant (45 ml)
081500 Cleaning kit
082022 Stomach valves (pkg.10)
083300 Head cpl.
083310 Face skin
083320 Head without face skin
252090 Airway lubricant (180 ml)

- Connect the two lung tube connectors to

the double Y-piece in the tube system.

- Connect the oesophagus to the single connection

in the tube system.

- Insert the cleaning syringe into the valve opening

and place the free end of the tube system into
the basin.

- Fill the basin with liquid to just underneath

the edge. Circulate liquid through the manikin
airways by pumping the syringe plunger.

- Use this setup to go through the following steps:

1. Use a Disinfectant solution*. Airways should
remain completely filled for at least 10 minutes.

2. Use fresh water to remove disinfectant solution.

After each step lift the head clear of the liquid

to allow drainage.

3. Allow to dry completely before reconnecting head

to body part.

* Virkon can be used.

Depending on local procedures you may prefer to use a
sodium hypochlorite solution freshly prepared for single
class use.This solution should have at least 500 ppm
free available chlorine, i.e. 22 ml of 2.5 - 5.0 % house-
hold bleach per 500 ml of water. Local cleaning and
handling procedures must then be followed.

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